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Kennedy 470Officeholder and Candidate Campaign Statement - Short Form 1. Statement Covers Calendar Year 20 Date of election if applicable: ❑ Amendment (Explain Below) (Month, Day, Year) 2. Officeholder or Candidate Information NAME OF OFFICEHOLDER OR CANDIDATE Kevin Kennedy STREET ADDRESS CITY Alameda AREACODE/DAYTIME PHONE NUMBER 510 -748 -1898 MOWN 11/6/2012 14 STATE ZIP CODE CA 94501 OPTIONAL: FAX / E -MAIL ADDRESS AUG 1AE201`i AL.;FORNIA l ORM CITY OF ALAI1hFDA CITY CLERK'S OFFICE Office Sought or Held OFFICE SOUGHT OR HELD Treasurer JURISDICTION (LOCATION) City of Alameda Official Use Only DISTRICT NUMBER IF APPLICABLE) 4. Committee Information List all committees of which you have knowledge that are primarily formed to receive contributions or to make expenditures on behalf of your candidacy. COMMITTEE NAME AND I.D. NUMBER COMMITTEE ADDRESS NAME OF TREASURER None 5. Verification I declare under penalty of perjury that to the best of my knowledge I anticipate that I will receive less than $1,000 and that I will spend less than $1,000 during the calendar year and that I have used all reasonable diligence in preparing this statement. I certify under penalty of perjury under the laws of the State of California hat the fore ± +' his trtie and correct. Executed on Clear Form DATE Print Form l By SIGNATURE F OFFICEHOLDER OR CANDIDATE FPPC Form 470/470 Supplement (Jan /2008) FPPC Form 70/470 Supplement Instructions - Rev. 2 (Dec /2012) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov